Department of Anaesthesia & Intensive Care, Haukeland University Hospital, Bergen, Norway
Department of Anaesthesia & Intensive Care, Haukeland University Hospital, Bergen, Norway.
BMJ Open. 2020 Jul 7;10(7):e037558. doi: 10.1136/bmjopen-2020-037558.
Few studies have described evacuations due to medical emergencies from the offshore installations in the North Sea, though efficient medical service is essential for the industrial activities in this area. The major oil- and gas-producing companies' search and rescue (SAR) service is responsible for medical evacuations. Using a prospective approach, we describe the characteristics of patients evacuated by SAR.
A prospective observational study of the offshore primary care provided by SAR in the North Sea.
Patients were identified by linking flight information from air transport services in 2015/2016 and the company's medical record system. Standardised forms filled out by SAR nurses during the evacuation were also analysed. In-hospital information was obtained retrospectively from Haukeland University Hospital's information system.
A total of 381 persons (88% men) were evacuated during the study period. Twenty-seven per cent of missions were due to chest pain and 18% due to trauma. The mean age was 46.0 years. Severity scores were higher for cases due to medical conditions compared with trauma, but the scores were relatively low compared with onshore emergency missions. The busiest months were May, July and December. Weekends were the busiest days.
Three times as many evacuations from offshore installations are performed due to acute illness than trauma, and cardiac problems are the most common. Although most patients are not severely physiologically deranged, the study documents a need for competent SAR services 24 hours a day year-round. Training and certification should be tailored for the SAR service, as the offshore health service structure and geography differs from the structure onshore.
尽管高效的医疗服务对于该地区的工业活动至关重要，但鲜有研究描述过北海近海设施因医疗紧急情况而进行的疏散。主要的石油和天然气生产公司的搜救（SAR）服务负责医疗后送。我们采用前瞻性方法，描述了 SAR 后送的患者特征。
对北海 SAR 提供的近海初级保健进行前瞻性观察研究。
通过链接 2015/2016 年空中运输服务的航班信息和公司的医疗记录系统，确定患者身份。还分析了 SAR 护士在疏散过程中填写的标准化表格。从豪克兰大学医院的信息系统中获取住院信息。
在研究期间，共有 381 人（88%为男性）被疏散。27%的任务是由于胸痛，18%是由于创伤。平均年龄为 46.0 岁。与创伤相比，因医疗状况导致的任务的严重程度评分较高，但与陆上紧急任务相比，评分相对较低。最繁忙的月份是 5 月、7 月和 12 月。周末是最繁忙的日子。
因急性疾病而从近海设施进行的疏散是创伤的三倍，而心脏问题是最常见的。尽管大多数患者的生理状况没有严重紊乱，但该研究记录了全年 24 小时都需要有能力的 SAR 服务。培训和认证应针对 SAR 服务进行定制，因为海上卫生服务的结构和地理位置与陆上不同。
